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Affidavit Verifying Notice Personal Property Security Regulation Section 66(1)
I, of in the Province of
,
Postal Code
make oath and say: 1.
That I have been authorized by the secured party to act as an agent for the purpose of effecting registration of notices relating to a security interest in a fixture or crop on the land described in the attached notice.
2.
That I have full knowledge of the facts set out in the attached notice and the statement of facts is true.
Sworn before me
this
day
day of
month
,
year Signature of Agent
at
REG3334 (2013/03)
Reset
, Alberta.
Registry Agent Office Use Only
Date of Submission (yyyy-mm-dd)
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